NPI | 1376969410 |
---|---|
Doing Business As | SUNDANCE GEORGIA REHABILITATION AGENCY |
Entity Type | Organization |
Authorized Contact | LOUISE ANN SOIKA SVP 610-925-4088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2014-03-13 |
Last Update Date | 2019-06-11 |